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Form
<br /> Request for Taxpayer Give form to the
<br /> (Rev.March 2024) Identification Number and Certification requester. Do not
<br /> Department of the Treasury Go to www.irs.gov/FormW9 for instructions and the latest information. send to the IRS.
<br /> Internal Revenue Service
<br /> Before you begin.For guidance related to the purpose of Form W-9,see Purpose of Form,below.
<br /> 1 Name of entityrndividual.An entry is required.(For a sole proprietor or disregarded entity,enter the owner's name online 1,and enter the business/disregarded
<br /> entity's name on line 2.)
<br /> CITY OF SANTA ANA
<br /> 2 Business name/disregarded entity name,if different from above.
<br /> 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1.Check 4 Exemptions(codes apply only to
<br /> only one of the following seven boxes. certain entities,not individuals;
<br /> CL see instructions on page 3):
<br /> c ❑ Individual/sole proprietor ❑ C corporation ❑ S corporation ❑ Partnership ❑ Trust/estate
<br /> 0
<br /> C ❑ LLC.Enter the tax classification(C=C corporation,S-S corporation,P-Partnership) . . . . Exempt payee code(if any) 3
<br /> R° Note:Check the"LLC"box above and,in the entry space,enter the appropriate code(C,S,or P)for the tax
<br /> tiu classification of the LLC,unless it is a disregarded entity.A disregarded entity should instead check the appropriate Exemption from Foreign Account Tax
<br /> o box for the tax classification of Its owner. Compliance Act(FATCA)reporting
<br /> ❑✓ Other(see instructions) GOVERNMENTAL UNIT code(if any)
<br /> L -+
<br /> a 91 3b If on line 3a you checked"Partnership"or"Trust/estate,"or checked°LLC"and entered"P"as its tax classification,
<br /> v (Applies to accounts maintained
<br /> m and you are providing this form to a partnership,trust,or estate in which you have an ownership interest,check outside the United States.
<br /> this box if you have any foreign partners,owners,or beneficiaries.See instructions . . . . . . . . . ❑ )
<br /> cn 5 Address(number,street,and apt.or suite no.).See instructions. Requester's name and address(optionan
<br /> 20 CIVIC CENTER PLAZA,M-13 PO BOX 1964
<br /> B City,state,and ZIP code
<br /> SANTA ANA,CA 92702
<br /> 7 List account number(s)here(optional)
<br /> Taxpayer Identification Number(TIN)
<br /> Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid Social security number
<br /> backup withholding. For individuals,this is generally your social security number(SSN). However,for a _ IE - LLH�
<br /> resident alien,sole proprietor,or disregarded entity,see the instructions for Part I,later.For other
<br /> entities,it is your employer identification number(Ell If you do not have a number,see How to get a or
<br /> TIN,later. Employer identification number
<br /> Note:If the account is in more than one name,see the instructions for line 1.See also What Name and
<br /> Number To Clive the Requester for guidelines on whose number to enter. 9 5 - 1 6 1 0 0 0 T78F5 —
<br /> Certification
<br /> Under penalties of perjury, I certify that:
<br /> 1.The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and
<br /> 2.1 am not subject to backup withholding because(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue
<br /> Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am
<br /> no longer subject to backup withholding;and
<br /> 3.1 am a U.S.citizen or other U.S.person(defined below);and
<br /> 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct.
<br /> Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding
<br /> because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid,
<br /> acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and,generally,payments
<br /> other than interest and dividends,y u are not re fired to sign the certification,but you must provide your correct TIN.See the instructions for Part 11,later.
<br /> Sign Signature of
<br /> Here U.S.person Date 01/27/2026
<br /> General Instructions New line 3b has been added to this form.A flow-through entity is
<br /> required to complete this line to indicate that it has direct or indirect
<br /> Section references are to the Internal Revenue Code unless otherwise foreign partners,owners,or beneficiaries when it provides the Form W-9
<br /> noted. to another flow-through entity in which it has an ownership interest.This
<br /> Future developments.For the latest information about developments change is intended to provide a flow-through entity with information
<br /> related to Form W-9 and its instructions,such as legislation enacted regarding the status of its indirect foreign partners,owners,or
<br /> after they were published,go to www.irs.gov/FormW9. beneficiaries,so that it can satisfy any applicable reporting
<br /> requirements. For example,a partnership that has any indirect foreign
<br /> What's New partners may be required to complete Schedules K-2 and K-3.See the
<br /> Line 3a has been modified to clarify haw a disregarded entity completes Partnership Instructions for Schedules K-2 and K-3(Form 1065),
<br /> this line.An LLC that is a disregarded entity should check the Purpose of Form
<br /> appropriate box for the tax classification of its owner.Otherwise,it
<br /> should check the"LLC"box and enter its appropriate tax classification. An individual or entity(Form W-9 requester)who is required to file an
<br /> information return with the IRS is giving you this form because they
<br /> Cat.No.10231X Form W-9(Rev.3-2024)
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